| NPI | 1760844260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225700000X Massage Therapist (Licence: IL 227018161) |
| Additional Taxonomies | 173C00000X Reflexologist (Licence: IL 227018161) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2017-01-27 |